Five Trauma Themes: Safety, Trust, Power, Esteem, Intimacy
A reflection worksheet rating the impact of trauma on beliefs about safety, trust, power, esteem and intimacy, towards self and others.
1-page fillable PDF · US Letter (prints on A4) · Cognitive processing
- Approach / concern
- Trauma & PTSD
- Technique
- Cognitive processing
- Format
- Fillable PDF, 1 page (US Letter / A4)
- Access
- Pro and Advanced plans (3-day free trial)
- For
- Licensed clinicians to use with clients
- Updated
- October 2026
Key facts
What is the Five Trauma Themes: Safety, Trust, Power, Esteem, Intimacy?
Trauma frequently disrupts beliefs in core domains of safety, trust, power and control, esteem and intimacy. Mapping these themes helps prioritize work and track change.
Why it works
Cognitive processing therapy organizes later sessions around these five themes (Resick et al., 2017). Herman (1992) describes disrupted safety, trust and connection as central to trauma’s impact.
When to use it
- Middle phase of trauma therapy
- Complex trauma
- Relationship difficulties after trauma
- Treatment planning
How to use it in session
- Explain the themes.
- Rate each area.
- Write beliefs about self and others.
- Choose a focus.
- Revisit later.
Clinician tips
- Self-directed beliefs (e.g. self-trust) matter as much as beliefs about others.
- Link themes to daily behaviours.
- Pace intimacy work carefully.
Worked example
Sharing with clients
Members can download the PDF to print or email, or copy a private client link from the download box. Your client opens the link and downloads the worksheet on any device. No client account is needed, and nothing your client writes is stored on TherapyAid.
Frequently asked questions
Why separate self and others?
Trauma can affect how you see yourself as much as how you see others.
Do I need to work on all five?
No. Focus on the areas most affected.
References
Resick, P. A., Monson, C. M., & Chard, K. M. (2017). Cognitive processing therapy for PTSD: A comprehensive manual. Guilford Press.
Herman, J. L. (1992). Trauma and recovery. Basic Books.
This worksheet is an educational tool for use by, or under the guidance of, a licensed or registered mental-health professional. It is not a diagnostic instrument or a substitute for clinical judgement. If a client is in crisis in Canada, call or text 9-8-8 or call 9-1-1.
